首页|中国安宁疗护服务体系历史发展、制度化困境与国家政策框架

中国安宁疗护服务体系历史发展、制度化困境与国家政策框架

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从现代社会福利制度化建设角度看,中国社会福利服务体系尤其是儿童与老人安宁疗护服务发展缓慢.中国现代安宁疗护服务制度建设的政策框架是"以医院为基础,以社区为中心,以居家为补充";战略是现代社会主义福利国家制度建设;策略是正式社区照顾服务、健康照顾服务与社会照顾服务体系一体化;路径是解放思想,更新价值观念,明确国家主体福利责任,完善社会福利服务财政制度,加快专门立法,发挥专业社会工作作用等.现代社会福利制度建设是国家、社会现代化的主体与主题.现代社会福利制度质量状况既决定社会政策与全民社会生活质量,又决定生命与死亡质量,其核心是国家权力与公民权利、国家责任与公民义务、个人福利与社会福利责任的社会划分,其实质是全民美好生活需要满足与国家治理制度现代化,其目标是中华民族伟大复兴和中国现代社会主义美好社会.
The Historical Development,Institutional Dilemmas,and National Policy Framework of China's Modem Palliative Care Service System
The institutionalization of modern social welfare systems in China has led to sluggish development in social welfare services,particularly in palliative care for children and the elderly.Various aspects of Chinese palliative care,including its concept,objectives,funding mechanisms,and service delivery,face challenges in theory,policy,and professional services.Informal institutional models dominate,hindering progress.The policy framework advocates a"hospital-based and community-centered"approach,supplemented by home care,within the context of building a modern socialist welfare state.Strategies involve integrating formal community,health,and social care services,while the roadmap includes ideological liberation,value renewal,and clarifying state welfare responsibilities.The paper emphasizes that constructing modern social welfare systems is pivotal for national and social modernization,impacting citizens'quality of life and even their end-of-life experiences.The key to this is balancing state power with citizen rights,and individual welfare with societal obligations,aiming for a better life,and the rejuvenation of China into a modern socialist society.

palliative caresocial welfareservice system

刘继同、徐硕

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北京大学卫生政策与管理系

中国人民大学社会学院

安宁疗护 社会福利 服务体系

2024

社会建设

社会建设

ISSN:
年,卷(期):2024.11(3)